Imaging prices at Wagoner Community Hospital
Wagoner, OK · every code in this section with a posted price and a Medicare benchmark.
115 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Ankle 2 views (73600) | $142.50 | $285 | 1.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $99.50 | $199 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,220 | $2,440 | 3.6× |
| CT abdomen and pelvis without contrast (74176) | $770 | $1,540 | 3.4× |
| CT abdomen w contrast (74160) | $782.50 | $1,565 | 4.6× |
| CT abdomen w wo contrast (74170) | $876 | $1,752 | 5.2× |
| CT abdomen w/o contrast (74150) | $390 | $780 | 3.9× |
| CT Angio Abdomen and Pelvis (74174) | $876 | $1,752 | 2.6× |
| CT Angio Chest (71275) | $916 | $1,832 | 5.4× |
| CT Angio Head (70496) | $916 | $1,832 | 5.4× |
| CT Angio Neck (70498) | $916 | $1,832 | 5.4× |
| CT cervical spine w/o contrast (72125) | $390 | $780 | 3.9× |
| CT chest w contrast (71260) | $782.50 | $1,565 | 4.6× |
| CT chest w/wo contrast (71270) | $876 | $1,752 | 5.2× |
| CT head/brain without and with contrast (70470) | $876 | $1,752 | 5.2× |
| CT l-spine w&w/o contrast (72133) | $876 | $1,752 | 5.2× |
| CT lower ext w/o (73700) | $390 | $780 | 3.9× |
| CT lower extremity w/contrast material (73701) | $782.50 | $1,565 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $390 | $780 | 3.9× |
| CT maxillofacial wo contrast (70486) | $390 | $780 | 3.9× |
| CT neck tissue combo (70492) | $876 | $1,752 | 5.2× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$390–$782.50 | $780–$1,565 | varies |
| CT pelvis w/o contrast (72192) | $390 | $780 | 3.9× |
| CT scan of leg combo (73702) | $876 | $1,752 | 5.2× |
| CT soft tissue neck w contrast (70491) | $782.50 | $1,565 | 4.6× |
| CT soft tissue neck w/o contrast (70490) | $390 | $780 | 3.9× |
| CT thoracic spine w/o contrast (72128) | $390 | $780 | 3.9× |
| CT thorax w/o contrast (71250) | $390 | $780 | 3.9× |
| CT upper ext wo (73200) | $390 | $780 | 3.9× |
| CT upper extremity with contrast (73201) | $782.50 | $1,565 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $916 | $1,832 | 5.4× |
| Cta Abdomen (74175) | $916 | $1,832 | 5.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$90–$152.50 | $180–$305 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$118–$320 | $236–$640 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Forearm 2 views (73090) range across 10 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$490–$522.50 | $980–$1,045 | varies |
| Gated Heart, Multiple (78473) | $560 | $1,120 | 1.5× |
| Hand 2 views (73120) range across 7 matching MRF lines |
$85–$152.50 | $170–$305 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$559.50–$680 | $1,119–$1,360 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$112.50–$142.50 | $225–$285 | varies |
| MRI abdomen w/o contrast (74181) | $930.50 | $1,861 | 4.1× |
| MRI cervical spine w/o cont (72141) | $930.50 | $1,861 | 4.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $930.50 | $1,861 | 4.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,569.50 | $3,139 | 4.7× |
| MRI pelvis w/o contrast (72195) | $930.50 | $1,861 | 4.1× |
| MRI thoracic spine w/o contrast (72146) | $930.50 | $1,861 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $930.50 | $1,861 | 4.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,569.50 | $3,139 | 4.7× |
| MRI, abdomen, combo (74183) | $1,569.50 | $3,139 | 4.7× |
| MRI, joint upper extrem (73221) | $930.50 | $1,861 | 4.1× |
| MRI, lumbar spine combo (72158) | $1,569.50 | $3,139 | 4.7× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$1,710–$1,812.50 | $3,420–$3,625 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$423–$522.50 | $846–$1,045 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $142.50 | $285 | 1.7× |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex shoulder complete minimum 2 views (73030) | $142.50 | $285 | 1.7× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex Toe Minimum 2 Views (73660) range across 18 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 9 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Radiologic exam knee complete 4/more views (73564) | $142.50 | $285 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $32.50 | $65 | 1.4× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Ultrasound Breast Limited (76642) | $160.50 | $321 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$160.50–$236 | $321–$472 | varies |
| Ultrasound, abdomen limited (76705) | $236 | $472 | 2.3× |
| Us chest (76604) range across 2 matching MRF lines |
$99.50–$152.50 | $199–$305 | varies |
| Us exam, pelvic, limited (76857) | $160.50 | $321 | 1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $160.50 | $321 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $236 | $472 | 2.3× |
| Us pelvic non ob complete (76856) | $236 | $472 | 2.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $236 | $472 | 2.3× |
| Us retroperitoneal limited (76775) | $236 | $472 | 2.3× |
| Us scrotum and contents (76870) | $236 | $472 | 2.3× |
| Us thyroid (76536) | $236 | $472 | 2.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $168 | $336 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $142.50 | $285 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $142.50 | $285 | 1.4× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$89–$152.50 | $178–$305 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$89–$112.50 | $178–$225 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$112.50–$142.50 | $225–$285 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.